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51 Improving Hypertension Control at Two University of Utah Family Medicine ClinicsChestnut, Robert; Kiraly, Bernadette; Gunning, Karen; Pohl, SusanHypertension is the most common condition seen in primary care and leads to myocardial infarction, stroke, renal failure, and death if not detected early and treated appropriately. We were unable to achieve our goal of 80% hypertension control. We feel that outreach to a single provider's patient pa...
52 Improving Influenza Vaccination Rates during Pregnancy at Two Academic Family Medicine ClinicsGalli, Vanessa M.; Hendrickson, Bryan K.; Jones, Kyle B.; Pippitt, Karly A.Pregnant women are at greater risk of complications from influenza, such as: hospitalization; premature labor and pre-term delivery; death.
53 Improving Joy in the WorkplaceMilne, Caroline; Beck, AnnaThree areas of focus for faculty were chosen from the Faculty Wellness Survey (June 2016): 1. Building a sense of community for faculty where personal professional values are aligned with department leaders, through improved communication and connectedness for feeling of belonging and mission alignm...
54 Improving Patient Screening Rates for Hepatitis C at Sugar House Health ClinicRiley-Burnett, Sarah; Abbey, Becky; Fortenberry, Katherine; Chacon, Monique; Marquez, Ammy; Oman, Cory; Stoesser, KirstenHepatitis is inflammation of the liver that can lead to eventual scarring or cirrhosis of the liver, most commonly caused by a viral hepatitis like B or C.
55 Improving Resident-Patient Communication: a CQI InitiativeDavis, Alan; Jackson, Frank; Wagner, Graham; Conger, Aaron; Cummings, Keith; Jacobson, JamieCommunication represents one of the core competencies for all ACGME programs, but it is commonly taught by modeling (i.e. osmosis) by attending physicians with little training in educating residents about successful patient physician communication. This belies the fact that the average clinician see...
56 Integrating a Clinical Research Nurse Program at an NCI Comprehensive Cancer CenterMaloney, Kristin; Sharry, Susan; Moehle, Jessica; Werner,TheresaClinical Research Nurses (CRNs) support high quality clinical research by providing best patient care and ensuring patient safety. They are an essential component of the research team.
57 Learning What to Expect When you Have a Child with Down SyndromeClark, Lauren; Canary, Heather; Anderson, Rebecca; McDougle, KyleWith scientific advances, parents know more about the genetic makeup of their unborn child. This study provides priority information for the clinical care of parents expecting to deliver a child with Down syndrome. Results frame expectations about an anticipated future and quality of life for themse...
58 Maliheh Student-Run Free Clinic: An Analysis of Patient Follow-up and DemographicsEscalante, Jose; Fox, Nicole; Hardin, Fern; Lee, James; Villapando, Norma; Uhrey, Ryan; Coursey, Jeff; Coombs, JenniferThe purpose of this study is to collect baseline demographic data of patients seen at Maliheh's Student-Run Free Clinic (SRFC), and observe whether SRFC exams are associated with further follow-up visits.
59 Mammogram Wars: Increasing Breast Cancer Screening Rates At Redwood Health CenterCarlson, Emily C.; Stone, Teresa; Stoneburner, Hugh; Day, Julie; Mervis, AnnieMammography helps to detect early stages of Breast Cancer, a common and curable cancer. The five-year survival rate for women diagnosed with breast cancer in stage 0 or 1 is close to 100%. The mammogram procedure takes only a short amount of time and is covered by most insurance companies including ...
60 Methylprednisolone Use for DAH in HSCT Recipients and Implementation of an Evidence-Based GuidelineRatté, Morgan; Sanders, Stephanie; Elofson; Kathryn; Harris, EstellePulmonary complications occur in 25-50% of HSCT recipients and are a significant cause of morbidity and mortality.
61 Mindfulness Based Stress Reduction Training in a Medical Setting- A Pilot StudyKolaski, Alexandra; Mau,Trinh; Davies, Rob; Armstrong, Amy; Taylor, Jennifer M.; Stovall, KarenA large body of research suggests that medical professionals are at risk for increased physiological and psychological distress (Dyrbye et al, 2006; Tyssen et al, 2009). 1. First, dealing on a daily basis with the pain and suffering of others has a negative impact on those serving in a helping role ...
62 Minimizing the Delay in Time to Antibiotics in Patients Presenting to the Emergency Department with UrosepsisSteffens, Laura; Lingenfelter, Erin; Sloan, ColeSepsis is a serious, life-threatening condition that requires quick identification and treatment for favourable outcomes.
63 Neurology Resident Wellness ProgramStone, Sarah; Wold, Jana; Armstrong, Amy; Davies, RobPhysicians experience high rates of burnout compared to non-physician workers in the US. Rates are especially high in Neurology, Emergency Medicine, Family Medicine, and Internal Medicine. ACGME modified its basic program requirements to include an emphasis on wellness. The Neurology residency progr...
64 Optimizing Collegiality Through Small Group Intervention to Address PM&R BurnoutWilson Zingg, Rebecca; Davis, Alan; Davies, Rob; Locke, Amy; Kendall,RichardBased on 2016 burnout survey assessing University of Utah Health Physical Medicine and Rehabilitation, 44% of respondents in PM&R division (9 total respondents) reported findings consistent with burnout in comparison to 30% of all School of Medicine respondents (608 respondents, 27 departments, 24 d...
65 Optimizing Pharmacokinetics and Pharmacodynamics of Intravenous Amikacin in Cystic Fibrosis Patients: Assessment of Clinical Outcomes and NephrotoxicityHuynh, Hoa Q.; Illamola, Silvia M.; Liu, Xiaoxi; Bhakta, Zubin; Liou, Theodore; Carveth, Holly; Young, David C.Cystic fibrosis is a recessive genetic disorder caused by a mutation in the cystic fibrosis transmembrane regulator gene. The mutation results in the inability to regulate chloride channels on epithelial cells, leading to inflammation, obstruction, and infection of the pulmonary tract. Declining lun...
66 Outcomes Evaluation for Adult Ewing's Sarcoma, Osteosarcoma, and Rhabdomyosarcoma Patients Treated with Off-label Children's Oncology Group ProtocolsCopeland, Vanessa; Pace, Makala; Wright, JenniferSarcoma is a rare malignancy in adults compared to children, with sarcoma accounting for 1% of malignancies in adults compared to 15% of malignancies in children. Sarcoma treatment regimens consist of a multimodality approach consisting of surgery, radiation, and chemotherapy. Improvements in pediat...
67 Passport To Infusion: A Paper Checklist To Decrease Treatment Delays, Enhance Patient Satisfaction And Increase Patient CapacityArata, Joan; Doering, Ryan; Larsen, Tawni; Lombardi, Joy; Moynahan, KellyThe "Passport to Infusion" is a paper checklist that clinic nurses use to ensure patient variables are addressed prior to the patient's arrival to the infusion room. The Passport was designed with input from all the outpatient clinics. Over a period of several months, the Passport was refined to inc...
68 Patient Education and Communication: A Continuous Quality Improvement ProjectWaller, Laura; Rudolph, Lauren; Campian, Michael; Bushman, Troy; Hansen, Pamela; Henrie, Michael; Huish, Matthew; Teramoto, Masa"Most patients prefer information in the form of paper print-outs, My Chart, and diagrams/pictures. Most patients believe that education regarding their diagnosis and treatment options are among the most important information they would like to receive. "
69 The Patient First: Honing Health Literacy for Cancer PatientsVehar, Meredith; Fouts, Diane; Yancey, Jeff; Branson, Donna; Childress, SusanCommunicating health information is a challenge, no matter the patient. In stressful situations such as a cancer diagnosis, educating patients about their disease, treatment, symptom management, and available resources adds responsibility. Surveying patients to ensure material is accessible and appl...
70 Photosurveillance of Non-FDA Approved Activity: Instagram and DiabetesWoodruff, Whitney S.; Arrington, Joseph; Litchman, MichelleIndividuals with diabetes are using social media to share information about their health. Real-Time Continuous Glucose Monitor (RT-CGM) users post about their experiences, including non-FDA approved activity. The purpose of this research is to assess the use of photosurveillance as a research method...
71 Physical Therapy Utilization Following an Emergency Department Consultation for Low Back PainMayer, L.; Roper, K.; Blumenthal, K.; Skinner, L.; Bernstetter, A; Magel, J.Patients consulting the Emergency Department (ED) for low back pain (LBP) may have delayed or decreased likelihood of receiving subsequent physical therapy (PT). Early PT for LBP following a consultation for LBP with a primary care provider is associated with decreased LBP-related health care utiliz...
72 Prevention of Admission Hypothermia in Premature Infants in the Neonatal Intensive Care UnitRobison, Mandy; Chan, Belinda; Simoncini, Shanda; Baserga, Mariana; Rogers, Suzanne; Jensen, Aimee; Henderson, CarolWe aim to decrease incidence of admission hypothermia to 30% among neonates born less than 29 weeks gestation age (GA).
73 Promoting Safe Enteral Medication AdministrationDrury, Zachary; Elofson, KathrynNational practice guidelines for safe administration of enteral medications calls for nurses to flush before and after each individual medication.
74 Quality Improvement Intervention to Increase the Percentage of Diabetic Patients with A1c < 9.0Chen, Karl; Locke, Amy; Pohl, Susan; Traylor, Katie; Magill, MichaelType 2 Diabetes (DM) is a leading cause of morbidity and mortality. Control of DM as measured by Hemoglobin A1c can reduce complications of the disease. This Quality-Improvement project aimed to increase the number of patients with A1c < 9.0 in a University based Family Medicine Practice.
75 Residency Wellness ProgramMoore, Eric; Crosby, Aaron; Milne, Caroline; Cowan, Amy; Hess, JordanPost-graduate medical training has high rates of burnout nationally. Surveying our residents in January 2017 with the Maslach Burnout Inventory (MBI) found 48% of residents reported feeling burned out from their work, or that they had become more callous towards others, since starting their job at l...
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